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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A prospective multicentre surveillance study to investigate the risk associated with contaminated sinks in the intensive care unit
Clinical Microbiology and Infection, Volume 27, No. 9, Year 2021
Notification
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Description
Objectives: The aim was to assess the incidence of sink contamination by multidrug-resistant (MDR) Pseudomonas aeruginosa and Enterobacteriaceae, risk factors for sink contamination and splashing, and their association with clinical infections in the intensive care setting. Methods: A prospective French multicentre study (1 January to 30 May 2020) including in each intensive care unit (ICU) a point-prevalence study of sink contamination, a questionnaire of risk factors for sink contamination (sink use, disinfection procedure) and splashing (visible plashes, distance and barrier between sink and bed), and a 3-month prospective infection survey. Results: Seventy-three ICUs participated in the study. In total, 50.9% (606/1191) of the sinks were contaminated by MDR bacteria: 41.0% (110/268) of the sinks used only for handwashing, 55.3% (510/923) of those used for waste disposal, 23.0% (62/269) of sinks daily bleached, 59.1% (126/213) of those daily exposed to quaternary ammonium compounds (QACs) and 62.0% (285/460) of those untreated; 459 sinks (38.5%) showed visible splashes and 30.5% (363/1191) were close to the bed (<2 m) with no barrier around the sink. MDR-associated bloodstream infection incidence rates ≥0.70/1000 patient days were associated with ICUs meeting three or four of these conditions, i.e. a sink contamination rate ≥51%, prevalence of sinks with visible splashes ≥14%, prevalence of sinks close to the patient's bed ≥21% and no daily bleach disinfection (6/30 (20.0%) of the ICUs with none, one or two factors vs. 14/28 (50.0%) of the ICUs with three or four factors; p 0.016). Discussion: Our data showed frequent and multifactorial infectious risks associated with contaminated sinks in ICUs. © 2021 The Author(s)
Authors & Co-Authors
Van Der Mee-Marquet, Nathalie L.
France, Tours
Centre Hospitalier Regional et Universitaire de Tours
Lepainteur, Margaux
Unknown Affiliation
Lugagne, Nathalie
Unknown Affiliation
Ory, Jérôme
Unknown Affiliation
Anguel, Nadia
Unknown Affiliation
Cerf, Charles
Unknown Affiliation
Desfrère, Luc
Unknown Affiliation
Georges, Hugues
Unknown Affiliation
Kalfon, Pierre
Unknown Affiliation
Kallel, Hatem
Unknown Affiliation
Lazard, Thierry
Unknown Affiliation
Martinet, Olivier D.
Unknown Affiliation
Pommier, Christian M.
Unknown Affiliation
Roger, Claire
Unknown Affiliation
Siami, Shidasp
Unknown Affiliation
Thouret, Jean Marc
Unknown Affiliation
Belmonte, Olivier
Unknown Affiliation
Bonnet, Richard
Unknown Affiliation
Brisou, Patrick J.
Unknown Affiliation
Chaplain, Chantal
Unknown Affiliation
Dao, Anne
Unknown Affiliation
Fines, Marguerite
Unknown Affiliation
Fougnot, Sébastien
Unknown Affiliation
Guinard, Jérôme
Unknown Affiliation
Hammami, Samia
Unknown Affiliation
Heym, Béate
Unknown Affiliation
Lavigne, Jean Philippe
Unknown Affiliation
Le Gallou, Florence
Unknown Affiliation
Lemenand, Olivier
Unknown Affiliation
Moquet, Olivier
Unknown Affiliation
Roudière, Laurent
Unknown Affiliation
Ruimy, Raymond
Unknown Affiliation
Statistics
Citations: 12
Authors: 32
Affiliations: 2
Identifiers
Doi:
10.1016/j.cmi.2021.02.018
ISSN:
1198743X
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative